FDA Adverse Event
Death
Summary report: N
ORAL SYRINGE W/TIP CAP 5ML
MDR report key: 17747644
·
Received September 14, 2023
Report
- Report Number
- MW5145652
- Event Type
- Death
- Date Received
- September 14, 2023
- Report Date
- September 11, 2023
- Manufacturer
- BD
- Product Code
- KYX
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- AZ, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
PT PASSED AWAY, CAUSE OF DEATH NOT PROVIDED BY REPORTER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 357864 | ORAL SYRINGE W/TIP CAP 5ML | DISPENSER, LIQUID MEDICATION | KYX | BD |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 0 YR | Male | Death |